Rural Women Connecting for Better Health
|ClinicalTrials.gov Identifier: NCT01441011|
Recruitment Status : Completed
First Posted : September 27, 2011
Last Update Posted : November 23, 2016
|Condition or disease||Intervention/treatment|
|Breast Cancer Obesity||Behavioral: Group phone counseling Behavioral: Newsletter|
Phase 1 - Weight Loss (0-6 months)
- Weekly group phone counseling sessions for all participants (12-14 women per group) via conference call for 26 consecutive weeks
- Low-calorie, low-fat diet recommended, including 2 pre-packaged entrees, five one-cup servings of fruits and vegetables and meal replacement shakes (provided free of charge)
- Physical activity program program recommended, beginning with 15 minutes per day, 3 days a week, working toward a goal of 225 minutes a week
- Experienced group counselor facilitates all sessions
Phase 2 - Weight Loss Maintenance (6-18 months)
- Participants randomized to either group phone counseling or mail-based comparison with no phone counseling
- Weight loss maintenance group condition includes 26 bi-weekly phone sessions, while mail-based comparison includes 26 bi-weekly newsletters in the mail
- Focus is on problem-solving
Phase 3 - Transition to Self-Reliance (18-24 months)
- Lasts from 18-24 months
- No sessions or newsletter mailings
- Participants are encouraged to continue to self-monitor throughout this period
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||210 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Official Title:||Group Phone-Based Weight Control for Rural Breast Cancer Survivors|
|Study Start Date :||August 2011|
|Primary Completion Date :||April 2015|
|Study Completion Date :||October 2015|
Experimental: Group (GRP) phone counseling
The group phone counseling includes 26 bi-weekly phone sessions from 6 to 18 months and focuses on group problem-solving. Women continue in the same group as in weight loss intervention phase.
Behavioral: Group phone counseling
Bi-weekly phone counseling sessions from 6 - 18 months
Active Comparator: Mail-based Comparison Condition
Participants in this group will receive a newsletter by mail every other week for 12 months starting after the initial 6 month weight loss period. The newsletters will provide problem-solving tips and will review nutrition and physical activity information.
Bi-weekly newsletter mailings from 6 - 18 months
- Weight loss maintenance [ Time Frame: 6 - 18 months ]Examine the impact of group phone-based treatment on weight loss maintenance from 6 to 18 months, compared to a mail-based education COMPARISON condition, following a 6-month weight loss phase among obese rural breast cancer survivors.
- Quality of life [ Time Frame: Baseline and 6, 12, 18, and 24 months ]Compare the effects of treatment conditions on aspects of quality of life important for breast cancer survivorship, including general physical, social, and emotional well-being, fatigue, arthralgia, lymphedema symptoms, menopausal symptoms, and depressive symptoms.
- Breast cancer risk biomarkers [ Time Frame: Baseline and 6 and 18 months ]Examine the association of weight change with changes in selected breast cancer risk biomarkers, including bioavailable estradiol, testosterone, and fasting insulin. Examine whether modulation of biomarkers is sustained during weight loss maintenance.
- Cost effectiveness [ Time Frame: 18 months ]Compare the incremental cost-effectiveness of weight loss maintenance (kg below baseline) between group and control conditions. Costs include fixed and variable provider costs (facility, time, phone charges, supplies) and fixed and variable participant costs (time, out-of-pocket expenses).
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01441011
|United States, Kansas|
|University of Kansas Medical Center|
|Kansas City, Kansas, United States, 66160|
|Principal Investigator:||Christie Befort, Ph.D.||University of Kansas Medical Center|